Agency Information Collection Activities: Proposed Collection; Comment Request, 3726-3727 [08-170]

Download as PDF 3726 Federal Register / Vol. 73, No. 14 / Tuesday, January 22, 2008 / Notices otherwise noted, these activities will be conducted throughout the United States. Each notice is available for inspection at the Federal Reserve Bank indicated. The notice also will be available for inspection at the offices of the Board of Governors. Interested persons may express their views in writing on the question whether the proposal complies with the standards of section 4 of the BHC Act. Additional information on all bank holding companies may be obtained from the National Information Center website at www.ffiec.gov/nic/. Unless otherwise noted, comments regarding the applications must be received at the Reserve Bank indicated or the offices of the Board of Governors not later than February 5, 2008. A. Federal Reserve Bank of St. Louis (Glenda Wilson, Community Affairs Officer) 411 Locust Street, St. Louis, Missouri 63166-2034: 1. Hancock Bancorp, Inc. Hawesville, Kentucky; to acquire 100 percent of the voting shares of Community First Bancorp, Inc., Madisonville, Kentucky, and thereby indirectly acquire Community First Bank, Madisonville, Kentucky, and engage in operating a savings association pursuant to section 225.28(b)(4)(ii) of Regulation Y. Board of Governors of the Federal Reserve System, January 16, 2008. Robert deV. Frierson, Deputy Secretary of the Board. [FR Doc. E8–976 Filed 1–18–08; 8:45 am] Governors. Interested persons may express their views in writing on the question whether the proposal complies with the standards of section 4 of the BHC Act. Additional information on all bank holding companies may be obtained from the National Information Center website at www.ffiec.gov/nic/. Unless otherwise noted, comments regarding the applications must be received at the Reserve Bank indicated or the offices of the Board of Governors not later than February 15, 2008. A. Federal Reserve Bank of St. Louis (Glenda Wilson, Community Affairs Officer) 411 Locust Street, St. Louis, Missouri 63166-2034: 1. Hancock Bancorp, Inc. Hawesville, Kentucky; to acquire 100 percent of the voting shares of Community First Bancorp, Inc., Madisonville, Kentucky, and thereby indirectly acquire Community First Bank, Madisonville, Kentucky, and engage in operating a savings association pursuant to section 225.28(b)(4)(ii) of Regulation Y. Board of Governors of the Federal Reserve System, January 16, 2008. Robert deV. Frierson, Deputy Secretary of the Board. [FR Doc. E8–985 Filed 1–18–08; 8:45 am] BILLING CODE 6210–01–S DEPARTMENT OF HEALTH AND HUMAN SERVICES BILLING CODE 6210–01–S Agency for Healthcare Research and Quality FEDERAL RESERVE SYSTEM Agency Information Collection Activities: Proposed Collection; Comment Request sroberts on PROD1PC70 with NOTICES Notice of Proposals to Engage in Permissible Nonbanking Activities or to Acquire Companies that are Engaged in Permissible Nonbanking Activities The companies listed in this notice have given notice under section 4 of the Bank Holding Company Act (12 U.S.C. 1843) (BHC Act) and Regulation Y (12 CFR Part 225) to engage de novo, or to acquire or control voting securities or assets of a company, including the companies listed below, that engages either directly or through a subsidiary or other company, in a nonbanking activity that is listed in § 225.28 of Regulation Y (12 CFR 225.28) or that the Board has determined by Order to be closely related to banking and permissible for bank holding companies. Unless otherwise noted, these activities will be conducted throughout the United States. Each notice is available for inspection at the Federal Reserve Bank indicated. The notice also will be available for inspection at the offices of the Board of VerDate Aug<31>2005 20:38 Jan 18, 2008 Jkt 214001 Agency for Healthcare Research and Quality, HHS. ACTION: Notice. AGENCY: SUMMARY: This notice announces the intention of the Agency for Healthcare Research and Quality (AHRQ) to request that the Office of Management and Budget (OMB) approve the proposed information collection project: ‘‘Assessment of the Emergency Severity Index (ESI).’’ In accordance with the Paperwork Reduction Act of 1995, Public Law 104–13 (44 U.S.C. 3506(c)(2)(A)), AHRQ invites the public to comment on this proposed information collection. DATES: Comments on this notice must be received by March 24, 2008. ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, Reports Clearance Officer, AHRQ, by email at doris.lefkowitz@ahrq.hhs.gov. Copies of the proposed collection plans, data collection instruments, and PO 00000 Frm 00067 Fmt 4703 Sfmt 4703 specific details on the estimated burden can be obtained from the AHRQ Reports Clearance Officer. FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports Clearance Officer, (301) 427–1477, or by e-mail at doris.lefkowitz@ahrq.hhs.gov. SUPPLEMENTARY INFORMATION: Proposed Project ‘‘Assessment of the Emergency Severity Index (ESI)’’ AHRQ is proposing to examine uptake and use of an emergency room triage tool, the Emergency Severity Index (ESI). The hospital emergency department (ED) represents a critical point in care delivery for patients across the United States. Over the past decade, however, the dramatic influx of patients into EDs has seriously challenged the ability of these departments to deliver timely, quality, and safe emergency health care services. Moreover, with most emergency departments operating at or over capacity it may prove difficult for them to respond to the surge in emergency room demand created by natural and man-made disasters. Development of increasingly refined and validated triage methods is one potential key to addressing overcrowding by speeding up the care delivery to the most acute ED patients while helping hospitals assess, carefully allocate and plan the amount of human and other resources needed to care for all patients. In response to a need to standardize the triage process and improve the flow of patients, Richard C. Wuerz, M.D., (Department of Emergency Medicine at the Brigham and Women’s Hospital and the Harvard Medical School) and David R. Eitel, M.D., (Department of Emergency Medicine, The York Hospital WellSpan Health System) initiated development of the Emergency Severity Index (ESI) in 1995. The ESI is unique in its focus on appropriate resource allocation and its consideration of necessary resource utilization in assigning acuity. To encourage adoption of the ESI, AHRQ developed an implementation handbook (Emergency Severity Index, Version 4) and companion DVDs. These materials are intended to provide hospitals and triage nurses with background on why they might want to implement the ESI as a triage tool, and offers recommendations on the implementation process and staff training. This project will assess the product’s acceptance by emergency departments and others involved in addressing medical surges to better understand the usefulness of the ESI compared to other E:\FR\FM\22JAN1.SGM 22JAN1 3727 Federal Register / Vol. 73, No. 14 / Tuesday, January 22, 2008 / Notices similar tools. It will focus on the satisfaction with the product’s presentation, content, and clarity; extent to which the product has improved emergency services and surge preparation; and the improvements users would like to see in the next version of this product. This will be accomplished through (1) developing and implementing an electronic and paper-based survey targeting emergency department professionals assessing the satisfaction with the ESI’s content, clarity and actual use of the system in everyday emergency departments, and (2) convening focus groups of ED professionals to identify characteristics that might predict uptake and use of this system in participating emergency departments. Method of Collection Survey: A randomly selected sample of 600 ED professionals from the database AHRQ maintains of individuals and organizations that requested a copy of the ESI tools will be contacted to participate in the survey. Where a phone number has been provided, we will do a reverse telephone number search to identify the mailing address of the requestor and conduct a mail survey with telephone follow-up. For those who have provided an e-mail address, we will send a link to a web survey. Telephone and e-mail prompts will be sent after two weeks to those who have not yet completed the questionnaire, followed by two additional remainders sent three weeks apart. The expected response rate of 80 percent will result in 480 respondents to the survey with approximately half from ED physicians and half from ED nurses. Focus Groups: Focus groups will be conducted to gauge ED managers’ and clinicians’ awareness of the ESI tool as well as AHRQ’s role in ED surge planning and preparation. To the extent that we are able to identify a subgroup of ED representatives who are aware of the ESI tool but have chosen not to utilize it in their emergency departments, focus groups may also be useful to gather information on why these organizations opted not to employ the ESI. In order to facilitate communication among focus group participants and ensure that responses address the key issues identified in the focus group guide, we will limit participation in each focus group meeting to between six and eight individuals. A total of four focus group meetings will be held, including two meetings each with ED medical directors, and ED triage nurses. Estimated Annual Respondent Burden EXHIBIT 1.—ESTIMATED ANNUALIZED BURDEN HOURS Number of respondents Data collection effort Number of responses per respondent Hours per response Total burden hours ED professionals survey .................................................................................. ED professionals focus groups ........................................................................ 480 32 1 1 30/60 1.5 240 48 Total .......................................................................................................... 512 na na 288 EXHIBIT 2.—ESTIMATED ANNUALIZED COST BURDEN Number of respondents Data collection effort Total burden hours Average hourly wage rate * Total cost burden ED professionals survey .................................................................................. ED professionals focus groups ........................................................................ 480 32 240 48 $43.93 43.93 $10,544 2,109 Total .......................................................................................................... 512 288 na 12,653 * Based upon the mean of the average wages of ED physicians and nurses, National Compensation Survey: Occupational wages in the United States 2006, ‘‘U.S. Department of Labor, Bureau of Labor Statistics.’’ This information collection will not impose a cost burden on respondents beyond that associated with their time to provide the required data. There will be no additional costs for capital equipment, software, computer services, etc. sroberts on PROD1PC70 with NOTICES Estimated Annual Costs to the Federal Government Developing and implementing the survey, $183,305. Developing and conducting focus groups, $69,669. Analyzing the data and report production, $26,172. Associated personnel costs, $17,073. The total cost to the government for this activity is estimated to be $296,219. VerDate Aug<31>2005 20:38 Jan 18, 2008 Jkt 214001 Request for Comments In accordance with the above-cited Paperwork Reduction Act legislation, comments on AHRQ’s information collection are requested with regard to any of the following: (a) Whether the proposed collection of information is necessary for the proper performance of AHRQ health care research and health care information dissemination functions, including whether the information will have practical utility; (b) the accuracy of AHRQ’s estimate of burden (including hours and costs) of the proposed collection(s) of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; and (d) ways to minimize the burden of the collection of information upon the PO 00000 Frm 00068 Fmt 4703 Sfmt 4703 respondents, including the use of automated collection techniques or other forms of information technology. Comments submitted in response to this notice will be summarized and included in the Agency’s subsequent request for OMB approval of the proposed information collection. All comments will become a matter of public record. Dated: January 14, 2008. Carolyn M. Clancy, Director. [FR Doc. 08–170 Filed 1–18–08; 8:45 am] BILLING CODE 4160–90–M E:\FR\FM\22JAN1.SGM 22JAN1

Agencies

[Federal Register Volume 73, Number 14 (Tuesday, January 22, 2008)]
[Notices]
[Pages 3726-3727]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 08-170]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Agency for Healthcare Research and Quality, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: This notice announces the intention of the Agency for 
Healthcare Research and Quality (AHRQ) to request that the Office of 
Management and Budget (OMB) approve the proposed information collection 
project: ``Assessment of the Emergency Severity Index (ESI).'' In 
accordance with the Paperwork Reduction Act of 1995, Public Law 104-13 
(44 U.S.C. 3506(c)(2)(A)), AHRQ invites the public to comment on this 
proposed information collection.

DATES: Comments on this notice must be received by March 24, 2008.

ADDRESSES: Written comments should be submitted to: Doris Lefkowitz, 
Reports Clearance Officer, AHRQ, by e-mail at 
doris.lefkowitz@ahrq.hhs.gov.
    Copies of the proposed collection plans, data collection 
instruments, and specific details on the estimated burden can be 
obtained from the AHRQ Reports Clearance Officer.

FOR FURTHER INFORMATION CONTACT: Doris Lefkowitz, AHRQ Reports 
Clearance Officer, (301) 427-1477, or by e-mail at 
doris.lefkowitz@ahrq.hhs.gov.

SUPPLEMENTARY INFORMATION: 

Proposed Project

``Assessment of the Emergency Severity Index (ESI)''

    AHRQ is proposing to examine uptake and use of an emergency room 
triage tool, the Emergency Severity Index (ESI). The hospital emergency 
department (ED) represents a critical point in care delivery for 
patients across the United States. Over the past decade, however, the 
dramatic influx of patients into EDs has seriously challenged the 
ability of these departments to deliver timely, quality, and safe 
emergency health care services. Moreover, with most emergency 
departments operating at or over capacity it may prove difficult for 
them to respond to the surge in emergency room demand created by 
natural and man-made disasters. Development of increasingly refined and 
validated triage methods is one potential key to addressing 
overcrowding by speeding up the care delivery to the most acute ED 
patients while helping hospitals assess, carefully allocate and plan 
the amount of human and other resources needed to care for all 
patients.
    In response to a need to standardize the triage process and improve 
the flow of patients, Richard C. Wuerz, M.D., (Department of Emergency 
Medicine at the Brigham and Women's Hospital and the Harvard Medical 
School) and David R. Eitel, M.D., (Department of Emergency Medicine, 
The York Hospital WellSpan Health System) initiated development of the 
Emergency Severity Index (ESI) in 1995. The ESI is unique in its focus 
on appropriate resource allocation and its consideration of necessary 
resource utilization in assigning acuity. To encourage adoption of the 
ESI, AHRQ developed an implementation handbook (Emergency Severity 
Index, Version 4) and companion DVDs. These materials are intended to 
provide hospitals and triage nurses with background on why they might 
want to implement the ESI as a triage tool, and offers recommendations 
on the implementation process and staff training.
    This project will assess the product's acceptance by emergency 
departments and others involved in addressing medical surges to better 
understand the usefulness of the ESI compared to other

[[Page 3727]]

similar tools. It will focus on the satisfaction with the product's 
presentation, content, and clarity; extent to which the product has 
improved emergency services and surge preparation; and the improvements 
users would like to see in the next version of this product. This will 
be accomplished through (1) developing and implementing an electronic 
and paper-based survey targeting emergency department professionals 
assessing the satisfaction with the ESI's content, clarity and actual 
use of the system in everyday emergency departments, and (2) convening 
focus groups of ED professionals to identify characteristics that might 
predict uptake and use of this system in participating emergency 
departments.

Method of Collection

    Survey: A randomly selected sample of 600 ED professionals from the 
database AHRQ maintains of individuals and organizations that requested 
a copy of the ESI tools will be contacted to participate in the survey. 
Where a phone number has been provided, we will do a reverse telephone 
number search to identify the mailing address of the requestor and 
conduct a mail survey with telephone follow-up. For those who have 
provided an e-mail address, we will send a link to a web survey. 
Telephone and e-mail prompts will be sent after two weeks to those who 
have not yet completed the questionnaire, followed by two additional 
remainders sent three weeks apart. The expected response rate of 80 
percent will result in 480 respondents to the survey with approximately 
half from ED physicians and half from ED nurses.
    Focus Groups: Focus groups will be conducted to gauge ED managers' 
and clinicians' awareness of the ESI tool as well as AHRQ's role in ED 
surge planning and preparation. To the extent that we are able to 
identify a subgroup of ED representatives who are aware of the ESI tool 
but have chosen not to utilize it in their emergency departments, focus 
groups may also be useful to gather information on why these 
organizations opted not to employ the ESI. In order to facilitate 
communication among focus group participants and ensure that responses 
address the key issues identified in the focus group guide, we will 
limit participation in each focus group meeting to between six and 
eight individuals. A total of four focus group meetings will be held, 
including two meetings each with ED medical directors, and ED triage 
nurses.

Estimated Annual Respondent Burden

                                  Exhibit 1.--Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                     Number of
             Data collection effort                  Number of     responses per     Hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
ED professionals survey.........................             480               1           30/60             240
ED professionals focus groups...................              32               1             1.5              48
                                                 ---------------------------------------------------------------
    Total.......................................             512              na              na             288
----------------------------------------------------------------------------------------------------------------


                                  Exhibit 2.--Estimated Annualized Cost Burden
----------------------------------------------------------------------------------------------------------------
                                                                                      Average
             Data collection effort                  Number of     Total burden     hourly wage     Total cost
                                                    respondents        hours          rate *          burden
----------------------------------------------------------------------------------------------------------------
ED professionals survey.........................             480             240          $43.93         $10,544
ED professionals focus groups...................              32              48           43.93           2,109
                                                 ---------------------------------------------------------------
    Total.......................................             512             288              na          12,653
----------------------------------------------------------------------------------------------------------------
* Based upon the mean of the average wages of ED physicians and nurses, National Compensation Survey:
  Occupational wages in the United States 2006, ``U.S. Department of Labor, Bureau of Labor Statistics.''

    This information collection will not impose a cost burden on 
respondents beyond that associated with their time to provide the 
required data. There will be no additional costs for capital equipment, 
software, computer services, etc.

Estimated Annual Costs to the Federal Government

    Developing and implementing the survey, $183,305.
    Developing and conducting focus groups, $69,669.
    Analyzing the data and report production, $26,172.
    Associated personnel costs, $17,073.
    The total cost to the government for this activity is estimated to 
be $296,219.

Request for Comments

    In accordance with the above-cited Paperwork Reduction Act 
legislation, comments on AHRQ's information collection are requested 
with regard to any of the following: (a) Whether the proposed 
collection of information is necessary for the proper performance of 
AHRQ health care research and health care information dissemination 
functions, including whether the information will have practical 
utility; (b) the accuracy of AHRQ's estimate of burden (including hours 
and costs) of the proposed collection(s) of information; (c) ways to 
enhance the quality, utility, and clarity of the information to be 
collected; and (d) ways to minimize the burden of the collection of 
information upon the respondents, including the use of automated 
collection techniques or other forms of information technology.
    Comments submitted in response to this notice will be summarized 
and included in the Agency's subsequent request for OMB approval of the 
proposed information collection. All comments will become a matter of 
public record.

    Dated: January 14, 2008.
Carolyn M. Clancy,
Director.
[FR Doc. 08-170 Filed 1-18-08; 8:45 am]
BILLING CODE 4160-90-M